| |
604a E Buchanan St, Suite A, California, MO 65018-1910 | |
(573) 796-2279 | |
(573) 796-2308 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 604a E Buchanan St, California, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689697088 | NPI | - | NPPES |
834765000 | Medicaid | MO |
Mailing Address | Practice Location Address |
---|---|
3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 Ph: (573) 449-8771 | 604a E Buchanan St, Suite A, California, MO 65018-1910 Ph: (573) 796-2279 |
Eric C Lange, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 East Buchanan Street, California, MO 65018 Phone: 573-796-2279 Fax: 573-796-2308 |